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Consent For Treatment Of A Minor Without Parent Form
"I need a Consent For Treatment Of A Minor Without Parent Form for a sports academy medical facility, where we regularly treat 16-17 year old athletes for physiotherapy without their parents present, and we need to ensure we're compliant with latest safeguarding regulations by March 2025."
1. Patient Information: Minor's personal details including full name, date of birth, NHS number, and contact information
2. Emergency Contact Information: Details of alternative adult contacts who can be reached in case of emergency
3. Medical Treatment Details: Specific description of the proposed treatment/procedure, including risks and benefits
4. Capacity Assessment: Documentation of assessment of minor's capacity to consent, including Gillick competence evaluation
5. Consent Declaration: Formal consent statement to be signed by the minor, including acknowledgment of understanding
6. Healthcare Provider Details: Information about the healthcare provider, including registration details and declarations
1. Previous Treatment History: Section detailing relevant medical history when treatment is ongoing or related to previous care
2. Special Instructions: Additional care requirements, medications, or specific medical needs
3. Religious/Cultural Considerations: Specific provisions or considerations related to religious or cultural beliefs affecting treatment
1. Capacity Assessment Form: Detailed form documenting the assessment of minor's understanding and capacity to consent
2. Treatment Information Sheet: Detailed medical information about the procedure, risks, benefits, and alternatives
3. Patient Rights Information: Standard information sheet outlining patient rights and relevant legal frameworks
Authors
Capacity Confirmation
Medical Treatment Description
Emergency Authorization
Confidentiality
Data Protection
Rights and Responsibilities
Liability
Information Sharing
Treatment Refusal
Medical Records Access
Risk Acknowledgment
Withdrawal of Consent
Emergency Contact Authorization
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